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Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare.
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A Medical Revenue Cycle Biller enhances the reputation of AHF by displaying proper and timely knowledge and submission, being flexable and adaptive. A Medical Revenue Cycle Biller contributes to AHF by reviewing and processing claims daily, making necessary updates based on specific payer requirements.
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Extensive knowledge of case management, patient registration, medical records, clinical documentation improvement, patient accounting, billing and revenue integrity management functions, process improvement preferred.
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Understand/explain policies regarding services, pricing, insurance billing, and payment of account. Secure all signatures necessary for treatments, release of medical information, assignment of insurance benefits, and payment of services from legally responsible parties.
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Verify insurance benefits and determine pre-certification/authorization status via online or other resources. Verify all insurance and obtain pre-certification/authorization. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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The Revenue Cycle Account Manager has no direct reports however he/she is responsible for mentoring and providing some day-to-day supervision of Assistant Billing Manager who are assigned to work with him/her.
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The Director of Revenue Cycle Management (RCM) will be responsible for managing RCM operations across a multi-state/multi-location organization which includes clinical and Ambulatory Surgery Center (ASC) billing.
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Minimum of 3-5 years as a pre-authorization or utilization review nurse in a payer or acute care setting; preferably medical-surgical or critical care/ED. Succinctly abstracts fact based clinical information to support pre-authorization utilizing applicable nationally recognized and payer-specific criteria; communicates timely the clinical information supporting the medical necessity of an ordered test/treatment/procedure/surgery as applicable to the patient’s health plan and documents the outcome of the task.
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Design and implement IT solutions that optimize the Revenue Cycle management for DME including order processing, document management, claims, reimbursement, and billing. A strong understanding of DME Revenue Cycle systems, Brightree System, EMR platforms, and integration knowledge is highly desirable.
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We are seeking a qualified medical billing and coding specialist. Proven experience in medical billing and coding, with a strong understanding of ICD-10 coding guidelines and procedures.
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Expertise in insurance core systems such as policy administration, claims, and billing; enterprise content management (ECM); business process management (BPM); Robotic Process Automation (RPA); or API middle-ware and integration layers, is a plus.
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Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Comprehensive medical coverage that covers many common services at no cost or for a low copay.
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Come join our team as a Revenue Cycle Director for our Central Billing Office. The Revenue Cycle/Central Billing Office Director contributes to the company’s mission, vision, and values by overseeing all functions of multiple center’s business office operations.
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Droidal is a revenue cycle management automation company, making healthcare operations simple through robotic process automation (RPA) and artificial intelligence (AI). Our ideal candidate is a sales leader with a proven track record of new business development within the Healthcare automation and/or RCM (Revenue Cycle Management) services industry, and a demonstrated history of establishing and developing partnerships with hospitals and healthcare providers across the country.
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revenue cycle medical billing insurance jobs Company: Teksystems in LA, Canada
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